The Keele Assessment of Participation: A New Instrument to Measure Participation Restriction in Population Studies. Combined Qualitative and Quantitative Examination of its Psychometric Properties

03 medical and health sciences 0302 clinical medicine England Psychometrics Patient Selection Population Surveillance Surveys and Questionnaires Quality of Life Humans Middle Aged World Health Organization 16. Peace & justice 3. Good health
DOI: 10.1007/s11136-005-4325-2 Publication Date: 2005-09-09T10:25:02Z
ABSTRACT
The World Health Organization has proposed participation restriction to reflect the societal consequences of health conditions. Despite its importance, participation restriction appears to be inconsistently represented or absent from the content of many health status instruments. This paper describes the development and testing of a new self-complete measure of participation restriction from the conceptual basis of participation as an individual's perception of their actual involvement in life situations. The psychometric properties (face, content and construct validity, responder burden, performance and repeatability) of the instrument were examined using qualitative and quantitative methods. Person-perceived participation restriction did not reflect the frequency of participation but was associated with participants' expectations, aspirations, and needs, as well as contextual factors. We conclude that the instrument can provide estimates of person-perceived participation restriction in population surveys.
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